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MMY1001 Multiple myeloma
A Phase 1 study of ramantamig (JNJ-79635322; BCMA × GPRC5D × CD3 trispecific Ab) in participants with relapsed or refractory MM or previously treated AL amyloidosis
Phase
Compound
Ramantamig (BCMA × GPRC5D × CD3 trispecific Ab)
NCT identifier
NCT05652335
Enrollment

N=~180

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Study overview & design

Key eligibility criteria*:

For participants with relapsed or refractory MM:

  • Initial diagnosis of MM according to IMWG diagnostic criteria
  • Relapsed or refractory MM with prior treatment including a PI, IMiD agent, and anti-CD38–based therapy
  • Measurable disease at screening
  • ECOG PS 0–1
  • No prior allogeneic transplant within 6 months or autologous transplant within 12 weeks

For participants with previously treated AL amyloidosis:

  • Initial histopathological diagnosis of amyloidosis
  • Not a candidate for available AL amyloidosis therapy with established clinical benefit and should have received ≥3 cycles of 1 prior line of therapy or a total of ≥2 cycles of >2 prior lines of therapy for AL amyloidosis
  • Measurable disease at screening defined by ≥1 of the following:
    • Serum iFLC ≥50 mg/L or dFLC ≥50 mg/L, or
    • Serum M protein ≥0.5 g/dL
  • ≥1 organs impacted by systemic AL amyloidosis
  • LVEF ≥45%
Study design
Study design

Primary outcomes:

Part 1

  • DLTs

Parts 1 and 2

  • AEs by severity

Part 2

  • Abnormalities in laboratory values

Secondary outcomes:

  • Serum concentration of JNJ-79635322
  • ADAs to JNJ-79635322
  • Preliminary anticancer activity of JNJ-79635322
  • TTR
  • DOR

*Not a complete list of inclusion and exclusion criteria.
Ab, antibody; ADA, antidrug antibody; AE, adverse event; AL, amyloid light chain; BCMA, B-cell maturation antigen; CD, cluster of differentiation; dFLC, difference between involved and uninvolved free light chain; DLT, dose-limiting toxicity; DOR, duration of response; ECOG PS, Eastern Cooperative Oncology Group performance status; GPRC5D, G protein–coupled receptor class C group 5 member D; iFLC, involved free light chain; IMiD, immunomodulatory drug; IMWG, International Myeloma Working Group; LVEF, left ventricular ejection fraction; MM, multiple myeloma; PI, proteasome inhibitor; SC, subcutaneous; TTR, time to response.

Recruiting site locations
World Map
Belgium, France, Japan, Netherlands, Spain, United Kingdom, United States
Study design
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Ramantamig mechanism of action
The following is video of the proposed mechanism of action for ramantamig, an investigational product which has not been reviewed by the FDA. Correlation to clinical effect has not been established.
Ramantamig mechanism of action
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Mechanism of disease in multiple myeloma
Mechanism of disease in multiple myeloma
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